| Mrs Diana Louise Koenig, DO | |
|
9104 State Hwy 19, Ozarks Medical Center Winona, Winona, MO 65588 | |
| (573) 325-4237 | |
| (573) 325-4996 |
| Full Name | Mrs Diana Louise Koenig |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 9104 State Hwy 19, Winona, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356510895 | NPI | - | NPPES |
| 26D0679044 | Other | MO | CLIA (LICKING) |
| 26D0889777 | Other | MO | CLIA (MOB) |
| 597780303 | Other | MO | RH MEDICAID |
| 1356510895 | Medicaid | MO | |
| 26D1050027 | Other | MO | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008008627 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diana Louise Koenig, DO 1100 Kentucky Avenue, Ozarks Medical Center, West Plains, MO 65775 Ph: (417) 256-9111 | Mrs Diana Louise Koenig, DO 9104 State Hwy 19, Ozarks Medical Center Winona, Winona, MO 65588 Ph: (573) 325-4237 |